- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $543.76 / $3,158.00 / $10,439.00
| Facility | | $543.76 | $3,158.00 | $10,439.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.00 / $309.29 / $590.94
| Facility | | $227.00 | $309.29 | $590.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $330.00 / $330.00 / $330.00
| Facility | | $330.00 | $330.00 | $330.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $340.27 / $625.32 / $1,543.34
| Facility | | $340.27 | $625.32 | $1,543.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $525.00 / $1,353.00 / $2,793.00
| Facility | | $525.00 | $1,353.00 | $2,793.00 |